REGISTRATION FORM – 2021 Humminbird Lake Monduran Barra Classic (Teams Event)

TEAM DETAILS

Please upload a current copy of insurance for the above Boat Registration. (Max File Size 8MB. Allowed File Extensions - pdf, ai, jpg, tif)

1ST TEAM MEMBER DETAILS

** Is considered the Team Representative who is responsible for team payment & communications **
Rules & Regulations - https://masa-fishstocking.org.au/wp-content/uploads/2021/02/2021-HUMMINBIRD-LAKE-MONDURAN-BARRA-CLASSIC.pdf

2ND TEAM MEMBER DETAILS

PAYMENT DETAILS

Price: $ 400.00
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